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Please take a moment to fill in the boxes below         -or-

Click here to download our Pre-Qualification Form

which can be filled out and faxed back at a later date.          (Acrobat Required)

   
PERSONAL INFORMATION
NAME
(Last, First, Middle)
DATE OF BIRTH
SOCIAL SECURITY
CO-SIGNER INFORMATION
NAME
(Last, First, Middle)
DATE OF BIRTH
SOCIAL SECURITY
ADDRESS & CONTACT INFORMATION
STREET ADDRESS
CITY
STATE
ZIP
HOW LONG?
PHONE NUMBER
MONTHLY PAYMENT
PREVIOUS ADDRESS
(if less than two years)
EMPLOYMENT HISTORY
EMPLOYER
PHONE NUMBER
STREET ADDRESS
CITY
STATE
ZIP
YEARS  IN PROFESSION
GROSS MO. INCOME
CO-SIGNER EMPLOYMENT HISTORY
EMPLOYER
PHONE NUMBER
STREET ADDRESS
CITY
STATE  
ZIP
YEARS EMPLOYED
GROSS MO. INCOME
OTHER INFORMATION
WHAT IS THE MAX. MONTHLY PAYMENT YOU WOULD FEEL
COMFORTABLE MAKING?
WILL YOU RECIEVE FUNDS AS A GIFT? NO YES
HOW MUCH?
HOW MUCH MONEY DO YOU HAVE FOR A DOWN PAYMENT?
WHERE IS THE MONEY FOR DOWN PAYMENT?
(i.e. checking, savings, 401K, etc.)
 
WHEN DO YOU PLAN ON BUYING? NOW 1 MO. 3 MO. 6 MO.
HAVE YOU HAD A FORECLOSURE? NO YES
WHEN         
HAVE YOU HAD A BANKRUPTCY? NO YES
YEAR DISCHARGED
 
HOW MANY PEOPLE WILL LIVE IN THE HOME?
ADULTS CHILDREN
IF NEEDED, CAN YOU GET A CO-BORROWER? NO YES
CHILD SUPPORT:
SPOUSAL SUPPORT:
ARE YOU A CO-SIGNER OF A CURRENT NOTE/LOAN?    Yes
MONTHLY EXPENSES (i.e. Credit Card payments, Car payments)
FIRST TIME-HOMEBUYER NO YES
EMAIL
COMMENTS:


BY SUBMITTING, THE ABOVE APPLICANT(S) REPRESENT(S) THE ABOVE INFORMATION TO BE TRUE, CORRECT, AND COMPLETE AND HEREBY AUTHORIZE(S) VERIFICATION OF INFORMATION PROVIDED, INCLUDING OBTAINING CREDIT REPORT(S). THANK YOU FOR COMPLETING THIS FORM. IF YOU HAVE ANY QUESTIONS CALL (800) 915-2270.

   
 
  (800)915-2270
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